Individual
DR. SEAN PATRICK CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1585 THIRD STREET, USA DENTAC, FT POLK, LA 71446
(337) 531-4762
(337) 531-6506
Mailing address
1585 THIRD STREET, USA DENTAC, FT POLK, LA 71446
(337) 531-4762
(337) 531-6506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN-10015
CO
1223P0300X
Periodontics
Primary
10015
CO
Other
Enumeration date
08/20/2009
Last updated
06/13/2013
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